Alvin Greenberg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

090460 Issued in NY

Practice address

1020 Vestal Pkwy E
#2
Vestal, NY 13850-1748

Phone

(607) 754-5342

Fax

(607) 754-5508

NPI assigned

Oct 24, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1215011697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 VESTAL PKWY E",
            "address_2": "#2",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501748",
            "telephone_number": "607-754-5342",
            "fax_number": "607-754-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 VESTAL PKWY E",
            "address_2": "#2",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501748",
            "telephone_number": "607-754-5342",
            "fax_number": "607-754-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "090460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00581484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion Gnadt, FNP-C
• Amy Goetz
• Thomas Henry Golebiewski, D.C.
• Sufen Gong, LIC.AC
• Greater Binghamton LCSW,PLLC
• Alicia Grunder-Laughlin, MPS, ATR-BC, LCAT
• Guthrie Clinic LTD (Guthrie Medical Group)
• Guthrie Health
• Guthrie Medical Group, P.C.
• Stephanie Marie Guzelak, DPM

• Internal Medicine Physician in Vestal, NY
• Providers in Vestal, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.